Author Topic: Member is locked-in to another provider  (Read 252 times)

Shawn123

  • Newbie
  • *
  • Posts: 1
Member is locked-in to another provider
« on: February 09, 2018, 10:27:47 AM »
Hi Guys,
I have been receiving this denial from GA Medicaid as the member is locked-in to another provider, but our provider is the only provider who sees this patient for dialysis treatment.

Any solution? Waiting for your experts responses.

PMRNC

  • Hero Member
  • *****
  • Posts: 4338
    • One Stop Resources & Networking for Medical Billers
Re: Member is locked-in to another provider
« Reply #1 on: February 13, 2018, 09:26:41 AM »
Sounds like it's something to do with the referal and/ or PCP? Patient might have to contact Medicaid to get it taken care of or call their pcp on file.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com